Requa Psychotherapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001415 Issued in CT

Legal business name

REQUA PSYCHOTHERAPY LLC

Practice address

72 Park St
Suite 103
New Canaan, CT 06840-4532

Phone

(203) 803-0469

NPI assigned

Jan 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara S Requa, LMFT

Title

Owner/Therapist

Phone

(203) 803-0469

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1124366745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884107",
            "telephone_number": "203-803-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PARK ST",
            "address_2": "SUITE 103",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404532",
            "telephone_number": "203-803-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REQUA PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "REQUA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "203-803-0469",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Coder Matthews Inc.
• Stephanie Raia
• Enrico Raponi
• Redner Integral Health PC
• David Manning Reed Sr., MD, MPH
• Sara S Requa, LMFT
• Restore Physical Therapy
• Richard Chae DDS PLLC
• James Rico Jr., PHARMD.
• Erika Rodormer, PT, DPT

• Marriage & Family Therapist in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.